Active NPI
Sarah Sample, ATC
- Athletic Trainer
- Cincinnati, OH
National Provider Identifier
1003485566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2751 O'Varsity Way
Cincinnati, OH 45221-0001 - Phone
- (513) 556-3178
- NPI assigned
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP055070T | OH | |
| Athletic Trainer | 2255A2300X | Primary | ||
| Physical Therapist | 225100000X | PT033837 | PA |
Addresses
Primary practice location
2751 O'Varsity Way
Cincinnati, OH 45221-0001
Mailing address
5802 Forest Xing
Erie, PA 16506-7004
Phone (814) 790-2902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP055070T | OH | MD | Physical Therapist |
| PT033837 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Sport Spine & Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Paragon Health Chiropractic | Current | Accepting new patients |
Locations
17 Main St
Ste 403
Robbinsville, NJ 08691
Phone (609) 686-2050
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopedic Chiropractor
- Robbinsville, NJ
- NPI 1740841337
-
- Physical Therapist
- Robbinsville, NJ
- NPI 1275191090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1003485566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5802 FOREST XING",
"city": "ERIE",
"state": "PA",
"postal_code": "165067004",
"telephone_number": "814-790-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 O'VARSITY WAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452210001",
"telephone_number": "513-556-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLE",
"first_name": "SARAH",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "CP055070T",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT033837",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.